Vital Health Clinic Intake Forms

Please download and fill out Vital Health Clinic’s intake forms below. You can either email them to me at or bring them with you to your first visit.

These are the two forms I need filled out for  the INITIAL Naturopathic appointments. 

Vital Health Clinic Informed Consent Final

VITAL Health Adult Intake form


This is the ONLY form I need filled out for in person, phone for Wi-Fi Intuitive Energywork Appointments. 

Energy work Liabilty Release

Schedule a FREE 20 minute interview to see if we are a good fit to work together on your health

Happy to offer a Superbill that you can submit to your insurance company for reimbursement!